Organization Active NPI

Midwest Stroke and Rehabilitation Centers

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1487063947
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MIDWEST STROKE AND REHABILITATION CENTERS
Practice address
7501 W Lake Mead Blvd Ste 116
Las Vegas, NV 89128-0287
Phone
(702) 497-3480
NPI assigned
Aug 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jon Gottlieb
Title
Owner
Phone
(702) 360-1137

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

7501 W Lake Mead Blvd Ste 116
Las Vegas, NV 89128-0287

Mailing address

3395 S. Jones Blvd
#363
Las Vegas, NV 89146

National Provider Directory

National Provider Directory

Locations

7501 W Lake Mead Blvd
Ste 116
Las Vegas, NV 89128
Phone (702) 497-3480

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1487063947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 S. JONES BLVD",
            "address_2": "#363",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 W LAKE MEAD BLVD STE 116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280287",
            "telephone_number": "702-497-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST STROKE AND REHABILITATION CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-10",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-360-1137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.